Chronic pancreatitis associated with pancreatic stone impaction at the ampulla and subsequent gallbladder perforation

Obstructive jaundice due to pancreatic stone is very rare. We report a case of obstructive jaundice in a patient with chronic pancreatitis, occurring due to the pancreatic stone getting impacted at the ampulla and subsequently, leading to gallbladder perforation, without any dilatation of the biliar...

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Main Authors: Oseen Hajilal Shaikh, Uday Shamrao Kumbhar, Chellappa Vijayakumar, Sunitha V Chakkalakkoombil, Naveen Kumar Gaur
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:International Journal of Advanced Medical and Health Research
Subjects:
Online Access:http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2022;volume=9;issue=2;spage=113;epage=116;aulast=Shaikh
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author Oseen Hajilal Shaikh
Uday Shamrao Kumbhar
Chellappa Vijayakumar
Sunitha V Chakkalakkoombil
Naveen Kumar Gaur
author_facet Oseen Hajilal Shaikh
Uday Shamrao Kumbhar
Chellappa Vijayakumar
Sunitha V Chakkalakkoombil
Naveen Kumar Gaur
author_sort Oseen Hajilal Shaikh
collection DOAJ
description Obstructive jaundice due to pancreatic stone is very rare. We report a case of obstructive jaundice in a patient with chronic pancreatitis, occurring due to the pancreatic stone getting impacted at the ampulla and subsequently, leading to gallbladder perforation, without any dilatation of the biliary tree. This could be explained due to the lower insertion of the cystic duct. Such instances can be managed with percutaneous tube cholecystostomy, endoscopic retrograde cholangiopancreatography, pancreatic stone extraction, and stenting of both the main pancreatic duct and the common bile duct.
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spelling doaj.art-903dfefbc5994270ab32dddb48cdc2712023-01-12T12:12:16ZengWolters Kluwer Medknow PublicationsInternational Journal of Advanced Medical and Health Research2349-42202350-02982022-01-019211311610.4103/ijamr.ijamr_15_22Chronic pancreatitis associated with pancreatic stone impaction at the ampulla and subsequent gallbladder perforationOseen Hajilal ShaikhUday Shamrao KumbharChellappa VijayakumarSunitha V ChakkalakkoombilNaveen Kumar GaurObstructive jaundice due to pancreatic stone is very rare. We report a case of obstructive jaundice in a patient with chronic pancreatitis, occurring due to the pancreatic stone getting impacted at the ampulla and subsequently, leading to gallbladder perforation, without any dilatation of the biliary tree. This could be explained due to the lower insertion of the cystic duct. Such instances can be managed with percutaneous tube cholecystostomy, endoscopic retrograde cholangiopancreatography, pancreatic stone extraction, and stenting of both the main pancreatic duct and the common bile duct.http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2022;volume=9;issue=2;spage=113;epage=116;aulast=Shaikhcholecystostomycystic ductgallbladder perforationpancreatic stonepancreatitis
spellingShingle Oseen Hajilal Shaikh
Uday Shamrao Kumbhar
Chellappa Vijayakumar
Sunitha V Chakkalakkoombil
Naveen Kumar Gaur
Chronic pancreatitis associated with pancreatic stone impaction at the ampulla and subsequent gallbladder perforation
International Journal of Advanced Medical and Health Research
cholecystostomy
cystic duct
gallbladder perforation
pancreatic stone
pancreatitis
title Chronic pancreatitis associated with pancreatic stone impaction at the ampulla and subsequent gallbladder perforation
title_full Chronic pancreatitis associated with pancreatic stone impaction at the ampulla and subsequent gallbladder perforation
title_fullStr Chronic pancreatitis associated with pancreatic stone impaction at the ampulla and subsequent gallbladder perforation
title_full_unstemmed Chronic pancreatitis associated with pancreatic stone impaction at the ampulla and subsequent gallbladder perforation
title_short Chronic pancreatitis associated with pancreatic stone impaction at the ampulla and subsequent gallbladder perforation
title_sort chronic pancreatitis associated with pancreatic stone impaction at the ampulla and subsequent gallbladder perforation
topic cholecystostomy
cystic duct
gallbladder perforation
pancreatic stone
pancreatitis
url http://www.ijamhrjournal.org/article.asp?issn=2349-4220;year=2022;volume=9;issue=2;spage=113;epage=116;aulast=Shaikh
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AT udayshamraokumbhar chronicpancreatitisassociatedwithpancreaticstoneimpactionattheampullaandsubsequentgallbladderperforation
AT chellappavijayakumar chronicpancreatitisassociatedwithpancreaticstoneimpactionattheampullaandsubsequentgallbladderperforation
AT sunithavchakkalakkoombil chronicpancreatitisassociatedwithpancreaticstoneimpactionattheampullaandsubsequentgallbladderperforation
AT naveenkumargaur chronicpancreatitisassociatedwithpancreaticstoneimpactionattheampullaandsubsequentgallbladderperforation